Study on the evolution of policy attention to county-level medical communities at the provincial level in China
Objective:To analyze the evolution and patterns of policy attention to county-level medical communities at the provincial level,providing references for the formulation and optimization of future policies.Methods:Provincial-level county medical community policies were divided into two phases:the exploration period and the pilot period,as well as three regions:eastern,central,and western.Guided by the theory of policy attention,the study analyzed the intensity and allocation of policy attention across different phases and regions.Additionally,the PMC index model was employed to conduct a comprehensive quantitative evaluation of policy attention in policy texts across different phases and regions.Results:The study revealed spatiotemporal differences in policy attention to county-level medical communities at the provincial level.Temporally,provincial policies followed central policy guidance,with stronger policy attention during the pilot period than the exploration period.The allocation of policy attention shifted in response to the focus of central policy attention.Spatially,policy attention levels varied significantly across regions,with higher levels in eastern provinces,moderate levels in central regions,and lower levels in western regions.Conclusion:The formulation of provincial county-level medical community policies should balance central guidance and local innovation,ensuring alignment with central policies while innovating based on regional characteristics.Furthermore,top-down support and regional collaboration should be unified:central authorities should provide targeted support to areas with lower policy attention,while leveraging neighboring and demonstrative effects to enhance inter-regional cooperation and elevate the overall level of county-level medical community policies.
county-level medical communitypolicy attentionentropy methodsocial network analysisPMC index model
万方数据
维普
